Agency Information Collection Activities; Proposed Collection; Public Comment Request, 54661-54662 [2013-21564]
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54661
Federal Register / Vol. 78, No. 172 / Thursday, September 5, 2013 / Notices
develop, acquire, install and utilize
technology and systems for the purpose
of collecting, validating and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information; to search
data sources; to complete and review
the collection of information; and to
transmit or otherwise disclose the
information. The total annual burden
hours estimated for this Information
Collection Request are summarized in
the table below.
TOTAL ESTIMATED ANNUALIZED BURDEN HOURS
Form name
Number of
respondents
Number of
responses per
respondent
Total
responses
Average
burden per
response
(in hours)
Total burden
hours
Performance Improvement Measurement System (PIMS) ..
700
2
1400
7
9,800
HRSA specifically requests comments
on (1) the necessity and utility of the
proposed information collection for the
proper performance of the agency’s
functions, (2) the accuracy of the
estimated burden, (3) ways to enhance
the quality, utility, and clarity of the
information to be collected, and (4) the
use of automated collection techniques
or other forms of information
technology to minimize the information
collection burden.
Dated: August 28, 2013.
Bahar Niakan,
Director, Division of Policy and Information
Coordination.
[FR Doc. 2013–21567 Filed 9–4–13; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities; Proposed Collection; Public
Comment Request
Budget (OMB). Prior to submitting the
ICR to OMB, HRSA seeks comments
from the public regarding the burden
estimate, below, or any other aspect of
the ICR.
DATES: Comments on this Information
Collection Request must be received
within 60 days of this notice.
ADDRESSES: Submit your comments to
paperwork@hrsa.gov or mail the HRSA
Information Collection Clearance
Officer, Room 10–29, Parklawn
Building, 5600 Fishers Lane, Rockville,
MD 20857.
FOR FURTHER INFORMATION CONTACT: To
request more information on the
proposed project or to obtain a copy of
the data collection plans and draft
instruments, email paperwork@hrsa.gov
or call the HRSA Information Collection
Clearance Officer at (301) 443–1984.
SUPPLEMENTARY INFORMATION: When
submitting comments or requesting
information, please include the
information request collection title for
reference.
AGENCY:
Information Collection Request Title:
The National Health Service Corps
Loan Repayment Program
In compliance with the
requirement for opportunity for public
comment on proposed data collection
projects (Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995), the
Health Resources and Services
Administration (HRSA) announces
plans to submit an Information
Collection Request (ICR), described
below, to the Office of Management and
OMB No. 0915–0127—Revision
Abstract: The National Health Service
Corps (NHSC) Loan Repayment Program
(LRP) was established to assure an
adequate supply of trained primary care
health professionals to provide services
in the neediest Health Professional
Shortage Areas (HPSAs) of the United
States. Under this program, the
Department of Health and Human
Services agrees to repay the qualifying
educational loans of selected primary
Health Resources and Services
Administration, HHS.
ACTION: Notice.
SUMMARY:
care health professionals. In return, the
health professionals agree to serve for a
specified period of time in a federally
designated HPSA approved by the
Secretary for LRP participants. The
forms utilized by the LRP include the
following: the NHSC LRP Application,
the Authorization for Disclosure of Loan
Information form, the Privacy Act
Release Authorization form, the
Verification of Disadvantaged
Background form, and the Private
Practice Option form. The first four of
the aforementioned NHSC LRP forms
collect information that is needed for
selecting participants and repaying
qualifying educational loans. The last
referenced form, the Private Practice
Option Form, is required by statute (42
U.S.C. 254n(a)) for all participants
wishing to exercise that service option.
Burden Statement: Burden in this
context means the time expended by
persons to generate, maintain, retain,
disclose or provide the information
requested. This includes the time
needed to review instructions; to
develop, acquire, install and utilize
technology and systems for the purpose
of collecting, validating and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information; to search
data sources; to complete and review
the collection of information; and to
transmit or otherwise disclose the
information. The total annual burden
hours estimated for this Information
Collection Request are summarized in
the table below.
ehiers on DSK2VPTVN1PROD with NOTICES
TOTAL ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Form name
NHSC LRP Application ........................................................
Authorization for Disclosure of Loan Information Form .......
Privacy Act Release Authorization Form .............................
VerDate Mar<15>2010
14:10 Sep 04, 2013
Jkt 229001
PO 00000
Frm 00045
Responses
per
respondent
8,200
150
100
Fmt 4703
Sfmt 4703
Total
responses
1
1
1
E:\FR\FM\05SEN1.SGM
8,200
150
100
05SEN1
Average
burden per
response
(in hours)
1.00
.10
.10
Total burden
hours
8,200
15
10
54662
Federal Register / Vol. 78, No. 172 / Thursday, September 5, 2013 / Notices
TOTAL ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Number of
respondents
Form name
Responses
per
respondent
Total
responses
Average
burden per
response
(in hours)
Total burden
hours
Verification of Disadvantaged Background Form ................
Private Practice Option Form ..............................................
600
300
1
1
600
300
.50
.10
300
30
Total ..............................................................................
........................
........................
9,350
........................
8,555
HRSA specifically requests comments
on (1) the necessity and utility of the
proposed information collection for the
proper performance of the agency’s
functions, (2) the accuracy of the
estimated burden, (3) ways to enhance
the quality, utility, and clarity of the
information to be collected, and (4) the
use of automated collection techniques
or other forms of information
technology to minimize the information
collection burden.
Dated: August 28, 2013.
Bahar Niakan,
Director, Division of Policy and Information
Coordination.
[FR Doc. 2013–21564 Filed 9–4–13; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities; Proposed Collection; Public
Comment Request
Health Resources and Services
Administration, HHS.
AGENCY:
ACTION:
Notice.
In compliance with the
requirement for opportunity for public
comment on proposed data collection
projects (Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995), the
Health Resources and Services
Administration (HRSA) announces
plans to submit an Information
Collection Request (ICR), described
below, to the Office of Management and
Budget (OMB). Prior to submitting the
ICR to OMB, HRSA seeks comments
from the public regarding the burden
estimate, below, or any other aspect of
the ICR.
ehiers on DSK2VPTVN1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
14:10 Sep 04, 2013
Jkt 229001
Comments on this Information
Collection Request must be received
within 60 days of this notice.
ADDRESSES: Submit your comments to
paperwork@hrsa.gov or mail the HRSA
Information Collection Clearance
Officer, Room 10–29, Parklawn
Building, 5600 Fishers Lane, Rockville,
MD 20857.
FOR FURTHER INFORMATION CONTACT: To
request more information on the
proposed project or to obtain a copy of
the data collection plans and draft
instruments, email paperwork@hrsa.gov
or call the HRSA Information Collection
Clearance Officer at (301) 443–1984.
SUPPLEMENTARY INFORMATION: When
submitting comments or requesting
information, please include the
information request collection title for
reference.
Information Collection Request Title:
Evaluation of the Frontier Community
Health Care Network Coordination
Grant.
OMB No.: 0915–XXXX—New.
Abstract: In fiscal year (FY) 2012,
ORHP funded an evaluation of the
Frontier Community Health Care
Network Coordination (FCHCNC) Grant.
This 3-year grant program awarded to
the Montana Department of Public
Health and Human Services focuses on
a community-based, patient-centered
clinical service coordination and health
promotion model. The program will be
coordinated by clinically trained Care
Transitions Coordinators (CTC) working
with Community Health Workers (CHW)
in 11 participating network
communities. By developing
intervention with patients, the CTCs
and CHWs will work to improve care
transitions and patient outcomes by
reducing or eliminating avoidable
hospitalizations and re hospitalizations,
ER visits, and nursing home placements.
Need and Proposed Use of the
Information: The program will be
subject to a 3-year independent
evaluation. As part of this 3-year
DATES:
PO 00000
Frm 00046
Fmt 4703
Sfmt 4703
evaluation, HRSA will be collecting
qualitative and quantitative information.
To support the qualitative analysis,
HRSA will conduct site visits and
telephonic key informant interviews
with the critical access hospitals,
tertiary hospitals, and the support staff
coordinating the program. Data
collection will focus on patient/family
satisfaction, whether goals were
achieved in working with patients, and
the strengths and challenges associated
with implementing the program.
Finally, HRSA will be collecting data
quarterly from the grantee sites in order
to gain a deeper understanding of the
program’s implementation.
Additionally, quantitative data will be
gathered by studying the effectiveness of
each intervention, specifically
identifying differences between pre and
post-intervention health care utilization,
hospital readmissions, and other clientspecific outcomes. Where data are
available, HRSA will assess cost
effectiveness of the program.
Likely Respondents: Frontier
Community Health Care Network
Coordination (FCHCNC) Grantees.
Burden Statement: Burden in this
context means the time expended by
persons to generate, maintain, retain,
disclose or provide the information
requested. This includes the time
needed to review instructions; to
develop, acquire, install and utilize
technology and systems for the purpose
of collecting, validating and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information; to search
data sources; to complete and review
the collection of information; and to
transmit or otherwise disclose the
information. The total annual burden
hours estimated for this Information
Collection Request are summarized in
the table below.
E:\FR\FM\05SEN1.SGM
05SEN1
]]>Agencies
[Federal Register Volume 78, Number 172 (Thursday, September 5, 2013)]
[Notices]
[Pages 54661-54662]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-21564]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities; Proposed Collection;
Public Comment Request
AGENCY: Health Resources and Services Administration, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance with the requirement for opportunity for public
comment on proposed data collection projects (Section 3506(c)(2)(A) of
the Paperwork Reduction Act of 1995), the Health Resources and Services
Administration (HRSA) announces plans to submit an Information
Collection Request (ICR), described below, to the Office of Management
and Budget (OMB). Prior to submitting the ICR to OMB, HRSA seeks
comments from the public regarding the burden estimate, below, or any
other aspect of the ICR.
DATES: Comments on this Information Collection Request must be received
within 60 days of this notice.
ADDRESSES: Submit your comments to paperwork@hrsa.gov or mail the HRSA
Information Collection Clearance Officer, Room 10-29, Parklawn
Building, 5600 Fishers Lane, Rockville, MD 20857.
FOR FURTHER INFORMATION CONTACT: To request more information on the
proposed project or to obtain a copy of the data collection plans and
draft instruments, email paperwork@hrsa.gov or call the HRSA
Information Collection Clearance Officer at (301) 443-1984.
SUPPLEMENTARY INFORMATION: When submitting comments or requesting
information, please include the information request collection title
for reference.
Information Collection Request Title: The National Health Service Corps
Loan Repayment Program
OMB No. 0915-0127--Revision
Abstract: The National Health Service Corps (NHSC) Loan Repayment
Program (LRP) was established to assure an adequate supply of trained
primary care health professionals to provide services in the neediest
Health Professional Shortage Areas (HPSAs) of the United States. Under
this program, the Department of Health and Human Services agrees to
repay the qualifying educational loans of selected primary care health
professionals. In return, the health professionals agree to serve for a
specified period of time in a federally designated HPSA approved by the
Secretary for LRP participants. The forms utilized by the LRP include
the following: the NHSC LRP Application, the Authorization for
Disclosure of Loan Information form, the Privacy Act Release
Authorization form, the Verification of Disadvantaged Background form,
and the Private Practice Option form. The first four of the
aforementioned NHSC LRP forms collect information that is needed for
selecting participants and repaying qualifying educational loans. The
last referenced form, the Private Practice Option Form, is required by
statute (42 U.S.C. 254n(a)) for all participants wishing to exercise
that service option.
Burden Statement: Burden in this context means the time expended by
persons to generate, maintain, retain, disclose or provide the
information requested. This includes the time needed to review
instructions; to develop, acquire, install and utilize technology and
systems for the purpose of collecting, validating and verifying
information, processing and maintaining information, and disclosing and
providing information; to train personnel and to be able to respond to
a collection of information; to search data sources; to complete and
review the collection of information; and to transmit or otherwise
disclose the information. The total annual burden hours estimated for
this Information Collection Request are summarized in the table below.
Total Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Average
Number of Responses per Total burden per Total burden
Form name respondents respondent responses response (in hours
hours)
----------------------------------------------------------------------------------------------------------------
NHSC LRP Application............ 8,200 1 8,200 1.00 8,200
Authorization for Disclosure of 150 1 150 .10 15
Loan Information Form..........
Privacy Act Release 100 1 100 .10 10
Authorization Form.............
[[Page 54662]]
Verification of Disadvantaged 600 1 600 .50 300
Background Form................
Private Practice Option Form.... 300 1 300 .10 30
-------------------------------------------------------------------------------
Total....................... .............. .............. 9,350 .............. 8,555
----------------------------------------------------------------------------------------------------------------
HRSA specifically requests comments on (1) the necessity and
utility of the proposed information collection for the proper
performance of the agency's functions, (2) the accuracy of the
estimated burden, (3) ways to enhance the quality, utility, and clarity
of the information to be collected, and (4) the use of automated
collection techniques or other forms of information technology to
minimize the information collection burden.
Dated: August 28, 2013.
Bahar Niakan,
Director, Division of Policy and Information Coordination.
[FR Doc. 2013-21564 Filed 9-4-13; 8:45 am]
BILLING CODE 4165-15-P
